Receipt of follow-up care plans on colorectal cancer screening among breast, prostate, and lung cancer survivors

Meng Han Tsai, Malcolm S. Bevel, Sydney E. Andrzejak, Justin X. Moore

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Purpose: Our study aimed to examine whether receipt of follow-up care plans is associated with greater guideline-concordant CRC screening stratified by breast, prostate, and lung cancer survivors. Methods: We used data from years 2016, 2018, and 2020 of the Behavioral Risk Factor Surveillance System on 3339 eligible treatment-utilizing cancer survivors with complete treatment. We performed descriptive statistics and multivariable logistic regression to examine the mentioned association. Results: We observed that 83.9% of breast and 88.2% of prostate cancer survivors with follow-care plans received CRC screening (p-value < 0.001). The lowest CRC screening use was observed among lung cancer (70.8%). In multivariable analysis, receipt of follow-up care plans was strongly associated with greater odds of receiving CRC screening in breast (OR, 2.67; 95% CI: 1.71–4.16) and prostate (OR, 3.81; 95% CI: 2.30–6.31) cancer survivors. Regardless of provider type, 84 to 88% reduced likelihood of receipt of CRC screening when they received follow-up care plans among lung cancer survivors. Among those without follow-up care plans, breast (OR, 0.29; 95% CI: 0.09–0.92) and lung (OR, 0.05; 95% CI: 0.01–0.25) cancer survivors who received care from general practices were less likely to receive CRC screening compared to those who received care from non-general practices. Conclusions: Receipt of follow-up care plans was associated with greater CRC screening use in breast and prostate cancers. Lung cancer survivors demonstrated lower screening use despite receipt of follow-up care plans. Implication for Cancer Survivors: Patient and provider communication regarding CRC screening recommendation should be included in their follow-up care plans.

Original languageEnglish
Pages (from-to)781-790
Number of pages10
JournalJournal of Cancer Survivorship
Issue number3
StatePublished - Jun 2024

Bibliographical note

Publisher Copyright:
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.


  • Cancer survivors
  • Colorectal cancer screening
  • Follow-up care plan
  • Provider

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)


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